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Unfavourable results in craniofacial surgery.

Ramesh Kumar Sharma1

  • 1Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|February 7, 2014
PubMed
Summary

Craniofacial surgery has evolved significantly, with reduced morbidity and mortality due to advanced techniques and surgeon experience. Infection prevention is key in this complex plastic surgery subspecialty.

Keywords:
ComplicationsPost-graduate Institute of Medical Education and Research Chandigarhcraniofacial surgeryunfavourable results

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Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery

Background:

  • Craniofacial surgery, a subspecialty of plastic surgery, emerged in the late 1960s.
  • Early reports indicated high morbidity and mortality rates (1.6%–4.3%) in the late 1980s and early 1990s.

Purpose of the Study:

  • To review the evolution and current status of craniofacial surgery.
  • To highlight improvements in patient outcomes and safety in this complex surgical field.

Main Methods:

  • Review of historical data and contemporary outcomes in craniofacial surgery.
  • Analysis of factors contributing to reduced morbidity and mortality.
  • Discussion of infection prevention strategies.

Main Results:

  • Morbidity and mortality rates have decreased significantly, reaching as low as 0.1% in some centers.
  • The mortality rate at our center is 0.8% (4/480 cases).
  • Improved instrumentation, anesthesia, and surgical experience are key factors.

Conclusions:

  • Craniofacial surgery outcomes have improved dramatically due to advancements and experience.
  • A steep learning curve necessitates experienced teams for optimal results.
  • Preventing infection through sound surgical principles and tissue barriers is crucial.